Veracyte, Inc. · 3 months ago
Reimbursement Specialist (PST Time Zone)
United States
Full-time
Remote
Entry Level
$23/hr - $30/hr
1+ years expVeracyte is a global genomic diagnostics company committed to transforming cancer care for patients. They are seeking a Reimbursement Specialist who will be responsible for identifying, analyzing, and resolving insurance company denials while collaborating with various teams to provide insights on medical insurance claims.
BiotechnologyHealth CareHealth Diagnostics
Responsibilities
Verifying insurance/recipient eligibility, billing and follow-up on claims to Medicare, Medicaid and Private Insurer Payers
Researching and responding to Medicare, Medicaid and other Payer inquiries regarding billing issues and insurance updates
Reviewing unpaid and/or denied claims, appeals and follow-up on accounts to zero status
Organizing and distribute comprehensive appeal packages to the insurance provider
Ability to review and interpret explanation of benefits to determine contractual allowance
Researching accounts and resolving deficiencies
Calling insurance companies regarding outstanding accounts. Utilize payor websites to check claim status
Reviewing and submitting accurate claims, re-submissions and claim review forms
Researching and monitoring specific billing issues, trends and potential risks based on current research and customer feedback
Answering all patient/doctor/hospital/lab/insurance company phone calls regarding accounts, and takes appropriate action
Providing administrative support (when requested) including performing data entry, updating various record keeping systems, upholding company policies and Client requirements, and participating in projects, duties, and other administrative tasks
Knowledge, understanding, and compliance with all applicable Federal and Local laws and regulations relating to job duties
Knowledge, understanding, and compliance with Company policies and procedures
Other duties as assigned
Qualification
Required
Bachelor's Degree or Associates Degree
1-2 Years of direct appeals and billing experience
Enthusiasm and an entrepreneurial spirit
Ability to create and maintain spreadsheets
Ability to use analytical, interpersonal, communication, organizational, numerical, and time management skills
Experience handling and expediting escalated issues, with follow up to the customer
Ability to quickly assess a situation and take appropriate actions to address customer needs and requests in a timely and efficient manner
Self-starter with the ability to work independently and effectively in a team environment
Ability to organize and prioritize multiple projects/tasks and meet deadlines in a constantly evolving and fast-paced environment
Strong, consistent work ethic with a keen attention to details and ability to focus on the big picture
Excellent written and verbal communication skills
Must be able to communicate with confidence and tact across all levels within the company
Knowledge, understanding, and compliance with all applicable Federal and Local laws and regulations relating to job duties
Knowledge, understanding, and compliance with Company policies and procedures
Preferred
Familiarity with ICD and HCPC/CPT coding
Familiarity with CMS 1500 claim form
Familiarity with Claim Adjustment Reason Codes (NUCC)
Benefits
Competitive compensation and benefits
Additional discretionary bonuses/incentives
Restricted stock units
Company
Veracyte, Inc.
Veracyte is a global diagnostics company that empowers clinicians with the high-value insights they need to guide and assure patients at pivotal moments in the race to diagnose and treat cancer.
501-1000 employees
H1B Sponsorship
Veracyte, Inc. has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (8)
2024 (17)
2023 (7)
2022 (2)
2021 (6)
2020 (8)
Funding
Current Stage
Public CompanyTotal Funding
$1.1BKey Investors
Visium Healthcare PartnersGE VenturesDomain Associates
2021-02-05Post Ipo Equity· $550M
2020-08-05Post Ipo Equity· $194M
2019-05-01Post Ipo Equity· $137.8M
Leadership Team
John Leite
Chief Commercial Officer (CCO)
Recent News
2026-01-12
TradingView
2026-01-12
Company data provided by crunchbase